AccessGUDID - DEVICE: Aquasil Ultra Smart Wetting® Impression Material with B4™ Cartridge System (D0026781501)

GUDID

Device Identifier (DI) Information

Brand Name: Aquasil Ultra Smart Wetting® Impression Material with B4™ Cartridge System
Version or Model: 678150
Commercial Distribution Status: Not in Commercial Distribution
Catalog Number: 678150
Company Name: DENTSPLY INTERNATIONAL INC.

Primary DI Number: D0026781501
Issuing Agency: HIBCC
Commercial Distribution End Date: December 15, 2022
Device Count: 4
Labeler D-U-N-S® Number*: 083235549 *Terms of Use

Device Description: Aquasil Ultra LV Fast Set (Teal) Cartridge Refill Package with B4™ Optimizer

Device Characteristics

What MRI safety information does the labeling contain?	Labeling does not contain MRI Safety Information
Device required to be labeled as containing natural rubber latex or dry natural rubber (21 CFR 801.437):	No
Device labeled as "Not made with natural rubber latex":	No
For Single-Use:	No
Prescription Use (Rx):	Yes
Over the Counter (OTC):	No
Kit:	Yes
Combination Product:	No
Human Cell, Tissue or Cellular or Tissue-Based Product (HCT/P):	No

GMDN

[?]

GMDN Term Code	GMDN Term Name	GMDN Term Definition	GMDN Term Status [?]	Implantable?
35866	Silicone dental impression material	An elastomeric, polysiloxane-based material capable of reacting to form a rubber-like substance suitable to reproduce the structure of a patient's teeth and gums, or other oral anatomy, after being placed on an impression tray and inserted into the mouth. This is a single-use device.	Active	false

FDA Product Code

[?]

Product Code	Product Code Name
ELW	MATERIAL, IMPRESSION

FDA Premarket Submission

FDA Premarket Submission Number [?]	Supplement Number [?]
Premarket Submission Number Not Available/Not Released

Device Exempt from Premarket Submission: No CLOSE

Sterilization

Device Packaged as Sterile: No
Requires Sterilization Prior to Use: No

Sterilization Method [?]
No Sterilization Methods Found

Storage and Handling

[?]

Storage and Handling
Special Storage Condition, Specify: Keep away from sunlight. Keep dry.

Clinically Relevant Size

[?]

Size Type Text
Total Volume: 50 Milliliter
Total Volume: 6 Milliliter
Device Size Text, specify: 4 (50mL) Cartridges, 1 Bottle Optimizer, 12 Mixing Tips, 50 Flocked Applicator Tips, 1 Dispensing Well

Device Record Status

Public Device Record Key: 2f64cf21-8282-4b5c-bcd8-cd58df006693
Public Version Date: December 20, 2023
Public Version Number: 3
DI Record Publish Date: September 21, 2016